NPIMap

Organization Active NPI

Lake Union Vision Clinic LLC

  • Optometrist
  • Seattle, WA
National Provider Identifier
1528496379
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LAKE UNION VISION CLINIC LLC
Practice address
2121 Terry Ave Ste 100
Seattle, WA 98121-2765
Phone
(206) 467-4100
Fax
(206) 467-4880
NPI assigned
Oct 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Chow, O.D.NPI 1770627945
Title
Optometrist
Phone
(206) 467-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2121 Terry Ave Ste 100
Seattle, WA 98121-2765

Mailing address

2121 Terry Ave Ste 100
Seattle, WA 98121-2765
Phone (206) 467-4100

National Provider Directory

National Provider Directory

Locations

2121 Terry Ave
Ste 100
Seattle, WA 98121
Phone (206) 467-4100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1528496379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 TERRY AVE STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212765",
            "telephone_number": "206-467-4100",
            "fax_number": "206-467-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 TERRY AVE STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212765",
            "telephone_number": "206-467-4100",
            "fax_number": "206-467-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE UNION VISION CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "CHOW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "206-467-4100",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.